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32A-255 (42) 7v 'fl c �• M c 3 O Z m C: L 0 Z .: 1 � � v O 'U I � I i� I Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. "L3 � Alterations I- NORTHAMPTON, MASS. 191 Additions 1 APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location k�" . � Lot No. ! 2. Owner's name Vl< Address -- ' i 3. Builder's name <<��,� ,a <. �. � Address a ti � r rt Mass.Construction Supervisor's License No. 's ~> a t_.> Expiration Date ! '4A It"T"Rs 4. Addition i 5. Alteration 4 �,kc i, t, .,,y 6. New Porch ! 6 7. Is existing building to be demolished? 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating 1 11. Distance to lot lines A 12. Type of roof 13. Siding house 14. Estimated cost:- f i The undersigne j certifies that the above statements are true to the best of his, her knowledge and belief. � v Signature of responsible appicani I Remarks ,Ais�� Y�a., An �-t _ ,��,. .-t �,. � 3 i f d U `R of Wort 11allip to-n i JAN 8199c) �:�snchnsill� DEPARTMENT OF BUILDWG INSPECTIONS 212 Main Street ' Municipal :Buil(:Lng ' Nofthampton, Macs. 01060 W ORKER'S CONTENSA'I'ION MS CE Al t AVxT pTrl?.IFS r�i i i t(��cTB nT -Qk .. N�ns�l'peruv ltr.^.) with z principaJ place of busioess/resideoce ac — P.D. Box 1145 Northampton, MA. 01061 (phone ) 413-586-5491 (M,czVC-it)./s ZWZc P) do hereby cerify, wodcr ibe_ pains and peo�lues of pe-gluy, Lba-,. (X) I am an employer providing the followu* )g % or'r_er`s compens:160D cove:-age for my employees woridog on this job'. _Liberty Mutual Tr14,_,,,p ,a ro, Wrr 34c i,000P; 83c)'g - / (Insurance Cotnpauy) (Policy i�tttnbcr) iratioo Date) ( ) I am a sole proprietor, geaeral cootractor or homeowner (circle one) and have hired tti.e contractors listed below who have the following worker's compensation policies: (Name of Contractor) QA5W-aD=CorcTr-G)-/Policy Number) (Expiration Datc) CNainc of Counctor) (lnsuran(,_- Compaayf?oky Numccr) (Expifaoon Da1c) (Name of Contractor) (insuranc Coapany/paucy (Expim600 Date) ON''ame of Contractor) (Lasurt..nce Company/Policy Numrrs) (Expiration Datc) (ina.,G,additioanl r!>a irncoevey to c:. do iafccma�ea per...img w..11 xarr._c..on) O I am a sole proprietor and have no ooc working for me. O I am a home owner perforruing all the work myself. NOTE plead be atvue[hsl whiJo 600co�u n �bo cm,loy pertoaz to do ructioo'ar repair work oa t uh.cll oZ of aot an"lh:n tbino taiU is wfmch tbd 6oc.'o-.u ccido cc ca tDe uc DX gco--It'oocidcod to be employe"undo Lb-vrbr yk o nim/,u(G Li 52,n l(5)},npplintioa by.homeowner far a lieenx a permit avy Cv&—the tc-giI rtiAu or►o e=ptoyoc uod,tho Wort &coazpcm t.ioa&cc . undcAwd dL4 a oopy QC"chtcm­t=i y b.,ro(wurd«S to tbo D.-p.mQ t of loa,a,7ic1 n.00dmtf om.of[su«000 for ttlo coves a vaiBc3lioo and that riilurc to,•xum covcrabo%mdcr,cttioa 23A of MOL 132 cw 1cu1 to tbd impositica of crimiaA pca!on oomisang oCa we bfuQ to 52,300,00 ojor anpcisocmcrl orup to ooc y, r and 6Q pcuJtica in the rocm orn Stay Work Order and a fimoCS100.00 achy agsiast,ax- Signcd d.a of Ck" 199q For•dcpdtmc+ a»only Pcrmlt Number t Maps! Lot 9 Si ham of :., David A. CYaxt6n/Pioneer Contractors 10. Do any signs exist on the property? YES y NO IF YES, describe size,type and location: Are there any proposed changes to or additions of signs intended for the property?YES NO y IF YES,describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. Thia --lama to be filled in by the E!ui2ding Department l Required I Existing Proposed By Zoning Lot size Frontage Setbacks - frnnt - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &Peved Dark ne j # of -Parking Spaces # `of Loading Docks Fill: -(volume--& location) 13 . Certification: I hereby certify that the information contained herein G is true and accurate to the best of my knowle e. DATE: ���/`� APPLICANT'S SIGNATURE Y NOTE: Issuance of a zoning permit does not relieve an pl cant's burden to oompty With~all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applionble permit granting authorities. FILE # ,l JAN 81999 File No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: — � Address: jo Telephone: 2. Owner of Property: Address: - Telephone: 3. Status of Applicant: owner Contract Purchaser Lessee Other(explain): 4. Job Location: Parcel Id: Zoning Map# Parcel#- District(s): _ (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property V�tM•.c� 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. 8. Has a Special Permit/Vabance/Finding ever been issued for/on the site? NO DON'T KNOW. ✓/ YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and/or Document# 9. Does the site contain a brook, body of water or wetlands? NO ✓ DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained ,date issued: (FORM CONTINUES ON OTHER SIDE) File#BP-1999-0623 APPLICANT/CONTACT PERSON Pioneer Contractors ADDRESS/PHONE PO Box 1145(413)586-5491 PROPERTY LOCATION 36 KING ST- WIGGINS TAVERN MAP 32A PARCEL 255 ZONE CB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLO�D REQUIRED DATE _ZONING FORM FILLED OUT ✓ Fee Paid Building Permit Filled out Fee Paid #1-01 AIT Typeof Construction: WIGGINS TAVERN-ASBESTOS PIPE INSULATION,SPRINKLERS,CEILINGS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 017890 3 sets of Plans/Plot Plan Tl LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: Approved as presented/based on information presented. Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under: § w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under: § w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Co i ion Signature of uilding Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. City of Northampton BUILDING INSPECTION LABEL APP OVEn n Inspector 1E Date 1 tV / ' l ���'��Qr�' o�it,C t/i�� ��s' � �7'�'�s�2.�j'J '- f3'���`{{• ��.tJ:� .+ � l r s 36 KING ST BP-1999-0623 USETTS 4 ° �vla) 'W �\�' . k.32A'235 CITY Lot. fl01 Permit; Bu11d1a Cate orv:Non structural interior renovatioais ]BUILDINg P Permit i# 8PJ999-t23 Proiect J8�19 7 Est f ast:$25006-0 Fee:$100. PE"ISSION IS HE1 EBY GRANT ED TO Const.Class. Contractor: License: Use G Pioneer Contractors 017890 Lat Si jam. ): 72614.52 �l r�rmer: S—A_R NQ�2.T, 3AMP TON INC c ng; Applicant Pi1per ontractors :PCB Bp 1145.. 1 9 -549 i W©'kern + . anon d 1 iWY `'11 i A W. T p� M f-'©I.LOWIN�(i W(�.�MIGGINS TA�RNwASBESTGS.IONS l:nsett3r �tnbiug Iiatr'o '�V .. X: .... . , „ inSt(ir ofniltling8. Underground! Service: Meter: r+Q�'►�ir1�S: Ron : mouse # Fouudxtion: Fin Rough Frame- WAS :, Fire 1l3etrartraent Fireplace/Chm;ney: ►,� Oil. Final: ✓ Final: 0 �- �7-? THIS PEA MA*BE CVO D EX THE CITY ORTHAMPTONUrON,S 1I T ( N OF ANY OF ITS RULES IIE�G�.�►�'�t3N5. . C.ertificat of Uc Fee T e: NQ:` ate P N a,, B W1tling $1 01/00909 O.OQ 212 Main Street,Phone(413)'38'7-1240,Fax:(413)`587-1272 Building Commissioner-Anthony Patillo _,J co y oN 3 Z m °I c R f i S in Z r �O Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. - ' � l Alterations 1Z NORTHAMPTON, MASS. �� '�" 19 Additions - ' Repair ' APPLICATION FOR PERMIT TO ALTER �J Garage 1. Location 36 F�` Wit' G` °�"` "t'` ���i T � Lot No. N 2. Owner's name SAS-- �`}► ��' -` Address ^^'-e 3. Builder's name P�b�a-V. Address D t t�-1 i� 1-�rar (�w�iyv� A r2it%l Mass.Construction Supervisor's License No. 01-79c,1:) Expiration Date i I q l2:1M 4. Addition 5. Alteration �asLS J 6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating ua-, 1 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost- ,ZS t vw The undersigne certifies that the above statements are we to the best of his, her knowledge arl lief. Signatu#, ,Po�bl e a pp icant Remarks G/t ` � � i ✓k t� 11=^� � ��f�.-- V'�`�-r